Individual provider · Type 1 NPI

Joshua Daniel Blake, NP

Family Nurse Practitioner · Colorado Springs, CO

NPI number 1104593102 Active

Practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Mailing address

PO Box 173891
Denver, CO 80217-3891

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPN.0995796-NP (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1104593102

Joshua Daniel Blake, NP's National Provider Identifier is 1104593102, issued on Aug 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 10, 2025.